Active NPI
Mindy King
- Addiction (Substance Use Disorder) Registered Nurse
- Albuquerque, NM
National Provider Identifier
1902200181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Registered Nurse
- License
- RN 80051
- Practice address
- 2600 Yale Blvd SE
Albuquerque, NM 87106-4217 - Phone
- (505) 980-4293
- Fax
- (505) 994-7975
- NPI assigned
- Oct 16, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | RN 80051 | NM | Primary |
Addresses
Primary practice location
2600 Yale Blvd SE
Albuquerque, NM 87106-4217
Mailing address
2600 Yale Blvd SE
Albuquerque, NM 87106-4217
Phone (505) 980-4293
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 80051 | NM | MD | Addiction (Substance Use Disorder) Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414454400000",
"number": "1902200181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 YALE BLVD SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064217",
"telephone_number": "505-980-4293",
"fax_number": "505-994-7975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 YALE BLVD SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064217",
"telephone_number": "505-980-4293",
"fax_number": "505-994-7975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "MINDY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-16",
"last_updated": "2014-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "NM",
"license": "RN 80051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.